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 </head>
 <body>
  <div style="margin: auto; width: 1000px">
   <h4>Swaniti_Singrauli_Survey_v0.9</h4>
   <table class="table table-bordered table-condensed" style="height: 100%; width: 100%">
    <thead>
     <tr>
      <th style="width: 20%;" class="headerCell"><h6>Field</h6></th>
      <th style="width: 60%;" class="headerCell"><h6>Question</h6></th>
      <th style="width: 20%;" class="headerCell"><h6>Answer</h6></th>
     </tr>
    </thead>
    <tbody>
     <tr class="gray entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>gps <span class="required">(required)</span> </span></td>
      <td class="questionCell">GPS coordinate <p class="hint">GPS coordinates can only be collected when outside.</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Identification Surveyor and household</span></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>surveyor_name <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Name of the Surveyor</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Prashant</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Shubhendra</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Vivek</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Vinay</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Saurabh</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yasharth</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mukesh</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Ranjeet</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>block <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Block</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Waidhan</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Chitrangi</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Deosar</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>residence_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Rural/urban household</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rural</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Urban</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>panchayat <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Panchayat</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>village <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Village</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ward <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Ward</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Consent and Introduction</span></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>consent</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Namaste, my name is --------------- (name of interviewer). Your household has been selected to participate in a short survey. This study is from the Swaniti Initiative. It will take around 30 minutes. Your participation in this survey is voluntary. At this moment, you or your household will not get any direct or indirect benefit from this survey. This data will only be used for research purposes, and your identity will not be revealed. If you have any questions, please do not hesitate to ask.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>consented <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">consent</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>notconsented <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">no_consent_reason</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="padding-left: 5px; background-color: #707070; color: #FFFFFF;" colspan="3"><span>Survey</span></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey &gt; Basic Respondent Details</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>basic_details_note</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">The respondent basic detail, introduction and migration reasons would be captured in this section</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>respondent_name <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Name of the Respondent</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>gender <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Gender</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Male</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Female</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>age <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Age</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>contact_number <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Contact number</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>social_category <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Social Category</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>General</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>OBC</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>SC</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>ST</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Prefer not to answer</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>years_in_district <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Since when has your family been staying in this district? (No of year, for Example for 5 years write 5)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>decision_maker <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">who takes most of the important decisions in your family?(like expenditure, children educations, marriages etc)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Self</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others (Please state your relationship)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>decision_maker_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Other Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>resp_relation_to_head <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please state your relationship with head of the household</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Self</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Spouse</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Parents/in-laws</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Siblings</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Children</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Daughter/Son in law</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>household_size <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How many members usually stays in the household?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>household_size_coal <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How many of these members work in coal mines?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey &gt; Household Detail and Facilities</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>household_detail_note</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Enumerator instruction - In this section house basic infrastructure data would be captured and how the household dependent on the coal facilities for the basic infrastructure</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>annual_income <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Household Annual Income <p class="hint">Note for surveyor check and match with the sum of every member income. Check question</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>annual_income_qc <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Household Annual Income - Reenter</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey &gt; Household Detail and Facilities &gt; Assets</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>asset_note</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Which of the following asset your household own</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ac <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">a. AC</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>freeze <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">b. Freeze</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tv <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">c. TV</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>smartphone <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">d. Smartphone</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>twowheeler <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">e. 2-wheeler</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>fourwheeler <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">f. 4-wheeler</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>tractor <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">g. Tractor</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>fan <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">h. Fan</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>bicycle <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">i. Bicycle</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>cattle <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">j. Cattle</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>auto <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">k. e-rickshaw, auto</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ration_card_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Which ration card does the household own</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>White card</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Green Card</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Antyodaya Anna Yojana (AAY) ration card</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Priority Household (PHH) ration card</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None, the household does not have a ration card</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>owns_land <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do you own any land ?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>land_size <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is the size of the land you own? [Number with locally understood unit]</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>house_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is the house type you are living in? <p class="hint">Observation Question: Surveyors can see and note their observations.&lt;br/&gt;Puccha: permanent structures made of durable material&lt;br/&gt;Mixed: those where either the wall, or roof is&lt;br/&gt;made of permanent material, but the rest is temporary such as mud, grass, thatch, wood, etc&lt;br/&gt;Kuccha: Entirely made of temporary material such mud, bamboo, etc.</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pucca</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Mixed (Semi-Pucca)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Kuccha</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>company_provided_house <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Is the house provided by the company?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>house_providing_company <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if provided by Company please tell the name of the company</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>electricity_source <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is the source of electricity?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>State government electricity connection</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>NCL Connection</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>NTPC/MP Genco connection</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reliance/other private company)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rooftop solar (PM Suryaghar)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Microgrid</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Electricity Connection</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>monthly_electricity_bill <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is the total monthly electricity bill?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>water_source <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is the main source of water(drinking and other use)?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Borewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Tap water municipality/ Jal Jeevan Mission connection</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Company(NCL) tap water</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Company(NCL) provided tanker</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handpump</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Community tap water/water storage</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Local Reservoir(Ponds, rivers other)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Community Well</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Own Well, Tubewell</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Water supply through NCL/NTPC supported CSR Project (like ponds, water rejuvenation)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>cooking_fuel1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is primary cooking fuel used in the household?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>LPG</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Wood</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Biomass</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Cow dung</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None of the above</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>cooking_fuel2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is primary cooking fuel used in the household?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>LPG</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Wood</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Biomass</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Cow dung</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None of the above</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>cooking_fuel3 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is primary cooking fuel used in the household?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>LPG</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Wood</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Biomass</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Cow dung</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None of the above</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>coal_source <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if coal is the primary source, what is the source of coal?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Locally procure from the coal seller</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Purchase from the informal seller</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Self Procured from the mines</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>medical_facility_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What type of medical facilities you primarily access for the treatment?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Madhya Pradesh Government Hospital</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>NCL Shatabdi Hopital/Project Hospital</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>PHC/CHC</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Private hospital empanelled in Ayushman Bharat</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Private hospital</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Local doctor clinic</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Company doctor private clinic</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Reliance/Pvt Power plant/coal compnay hospital)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>NTPC Hospital</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>medical_facility_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Other Please specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>has_medical_insurance <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does household member have medical insurance?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>insurance_name <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if yes, which medical insurance?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>insurance_covers_all <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does medical insurance cover all member ?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>members_without_insurance <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if No, how many family do not have health insurance?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>annual_medical_expense <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is total expense annually on the medical or health facilities (this include regular medicine, dialysis etc)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>annual_medical_expense_qc <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please reenter the expense figure on the medical or health</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey &gt; Anticipated Mines Closure impact on Infrastructure</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>anticipated_mines_closure_notes</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">The objective is to capture the impact on the household in the case of mines closure or coal phase down<br><br>Note: As a lot of services and jobs are dependent on the NCL or coal mines, in case of mine closure due to reserve exhaustion, what will be the future risk</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>housing_impact_details1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How will the housing be affected? - First</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Maintanence of the colony will be less regular</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>An illegal occupant will capture the vacant house</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity supply from the NCL would be discontinue</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>4 Water Supply will be irregular</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Impact, this village or town no one or few people get housing facility from NCL</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The place will be deserted</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There will be no impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>housing_impact_details2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How will the housing be affected? - Second</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Maintanence of the colony will be less regular</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>An illegal occupant will capture the vacant house</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity supply from the NCL would be discontinue</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>4 Water Supply will be irregular</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Impact, this village or town no one or few people get housing facility from NCL</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The place will be deserted</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There will be no impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>mine_closure_affect_electricity1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How will be electricity supply be impacted in the event of mines closure? - First</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No major impact, as MP govt provide electricity connection here</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity bill will increase, as now need to pay a nominal amount to NCL for electricity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>3 Electricity will be unreliable</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity to the Village under CSR provision will be severly impacted</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>mine_closure_affect_electricity2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How will be electricity supply be impacted in the event of mines closure? - Second</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No major impact, as MP govt provide electricity connection here</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity bill will increase, as now need to pay a nominal amount to NCL for electricity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>3 Electricity will be unreliable</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Electricity to the Village under CSR provision will be severly impacted</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>mine_closure_affect_medical <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How will medical facilities be affected in the event of mines closure?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There would be no major impact as the PHC/CHC is functional</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>There are a lot of private hospital so there would be no impact</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Until and unless Shatabdi Hospital NCL is active, there will be no impact</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Closure of Project hospital and dispensary will affect the access to basic medical facilities in the area</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Health Camp under CSR scheme in the village will be closed, which will affect the health facility</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>In case of mines closure, other company hospital (Like Reliance, NTPC hospital) will take care of medical facilites</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>mine_closure_affect_water <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How will the water supply be affected in the case of mine closure?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pond and water bodies creation under CSR will be closed, which will impact the water supply in the village</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The water tanker supply to the locality will be stopped from NCL</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Supply of filtered mine water to the colony and the locality will be impacted</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact as the house has a tap water connection or other sources of water supply</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Jal Jeevan Mission has been implemented in the area, so there will be no major supply issues</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The area is close to the Son River/other water reservoirs, so there would be no disturbance to the water supply</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>mine_closure_affect_education <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">NCL runs a lot of schools or supports schools in this area, how would you see the education of the children would be impacted in case of any mine closure in the future?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The teaching quality of the school will be impacted due to a funding shortage</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Maintenance of the school infrastructure in the area, dependent on the CSR money of NCL, will be impacted</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact, as people from these locality do not go to these schools.</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No major impact as there are other private schools.</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>School fees will increase</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Schooling will be more affordable as the State government will open more government schools.</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ncl_welfare_services <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">In your locality(Village, ward) or household, what services are provided under NCL Welfare and CSR policy?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Provide street lighting in the locality</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Construction of Community Center</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Maintenance of School</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Skill training</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Health Camp</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others (Please Specify)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ncl_welfare_services_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey &gt; Aspiration</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>aspiration_note</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">The objective is to capture the aspirations of the household in the case of mines closure or coal phase down</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>preferred_sector_for_children <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Which sector do you want your children work for Livelihood</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>work in the coal mining sector</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>If new sector, then please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>preferred_sector_for_children_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify the task in the new field</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>main_earner_preference_mine_closure <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">In the case of the closure of coal mines or the closure of a coal mining operation, what will you (main breadwinner) prefer to do?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Will Start business in other sector</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Try to find job in the other sector</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Agriculture in the same district</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Return back to the native place to do farming</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Migrate out of the other place in search of job</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Migrate to native place to other job/business apart from farming other</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Will find a job in the mining sector (non-coal)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>preferred_business_sector <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">In which sector would you want to do business?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Tourism</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-Coal Transport</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>New sector like solar, wind</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Computer/IT</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Brick Making</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Construction</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Food outlets, dhabas etc.</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-coal based MSME like textile, pharma etc</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Agri and allied businesses</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others, please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>preferred_business_sector_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify, if others</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>expected_monthly_income_business <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How much monthly income you expect from this business?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Same as the current income</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>enough income to sustain the family</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>More than the current, please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>expected_monthly_income_business_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>support_needed_from_government_b <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What kind of support do you want from the government?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Financial Support</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Ease in permission</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Education/Training</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Access to market</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Infrastructure</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Permission to use repurposed mine land for a new business</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>preferred_job_sector <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">In which sector would you like to do the job?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Tourism</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-Coal Transport</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>New sector like solar, wind</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Computer/IT</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Brick Making</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Construction</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Food outlets, dhabas etc.</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-coal based MSME like textile, pharma etc</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Agri and allied businesses</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others, please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>expected_monthly_salary_job <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is your monthly salary expectation from those job?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Same as the current income</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>enough income to sustain the family</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>More than the current, please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>expected_monthly_salary_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Please specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>support_needed_from_government_j <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What kind of support do you want from the government for this job?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Training</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Creating more avenues for the Job</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Government scheme providing job opportunity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Skill training by NCL through CSR activities in potential sectors</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reason_for_migration <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Why do you want to migrate to Another city?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>In this region there would ne no opportunity one mines closed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>My relatives or know person who migrated get the better opportunity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Better Infrastrucure like school,college, hospital</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reason_for_migration_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Other please specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>suggested_industries_for_region <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What kind of industries/business do you think can be established in this region?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Textile</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Handicraft</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Food Processing Indsutry</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Home-based industry (papad, pickle, weaving, ceramics, leather, etc.)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Tourism</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Agriculture and allied activities (including pisciculture)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>IT</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Renewable Energy Industry (Solar, wind etc.)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>suggested_industries_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if other please specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey &gt; Community and Livelihood</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>economic_activity_idea <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Given an opportunity, what kind of economic activity can be planned around Amlohri and Gorbi mines?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>how_to_create_economic_activity <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How can these economic activities be created?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Providing training for potential sectors that can be established</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Use of CSR, DMF funds for creating the physical infrastructure</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Through SHG creation</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Giving the repurposed mined land back for agriculture purpose</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Giving the repurposed mined land back for business purpose</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Setting new business by NCL</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Use CSR money for skill training in identified economic activities</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>other, please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>how_to_create_economic_activity_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">If other, Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>challenges_in_alternative_options1 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What are the major challenges you foresee in creating alternative option in these areas? - First</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lack of Planning</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Political will</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Idea is never thoughtoff about mines land re-use after reserve exhausation</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Finding investor</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Land is not suitable for any use</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Skill gap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Infrastructure</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No access to market to sell product</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lack of sector-specific knowledge/ information</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Law and Order</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>challenges_in_alternative_options2 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What are the major challenges you foresee in creating alternative option in these areas? - Second</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lack of Planning</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Political will</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Idea is never thoughtoff about mines land re-use after reserve exhausation</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Finding investor</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Land is not suitable for any use</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Skill gap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Infrastructure</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No access to market to sell product</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lack of sector-specific knowledge/ information</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Law and Order</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>challenges_in_alternative_options3 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What are the major challenges you foresee in creating alternative option in these areas? - Third</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lack of Planning</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Political will</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Idea is never thoughtoff about mines land re-use after reserve exhausation</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Finding investor</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Land is not suitable for any use</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Skill gap</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No Infrastructure</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No access to market to sell product</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lack of sector-specific knowledge/ information</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Law and Order</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>None</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>challenges_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">If Other, Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>suggested_nodal_agency <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Who should be the nodal office/ institution to crate alternative livelihood options in these areas?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>NCL</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>District Adminsitration</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Gram Sabha/PRI</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Municipality</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Elected MP/MLA</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Department at state level (Ex: Energy Department, Finance, Rural Develpment</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Central Ministries ( Ministries like coal, power, rural etc.)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No awareness/Don't know</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ncl_role_in_livelihood_creation <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How NCL can help in creating an alternative livelihood in de-coaled mines?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Provide information to the local inhabitants about alternative opportunity</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Provide the necessary skill training</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Help to provide market linkages</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Return the land to the tenant after making it usable for agriculture purpose</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Return the land to the tenant after providing necessary infrastructure (like electricity, water, road) to start business</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Create co-operative group and provide support for business</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>NCL should start some other business in this area</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coordination and supporting local inhabitants for obtaining necessary permission from the district and other regulators</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>ncl_role_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">If Others, Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>equivalent_employment_possibility <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do you think the activities you identified can create employment and wages equivalent to the coal mining sector?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reason_equivalent_employment <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Why do you think so?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>roaster_section_note</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">In this section the household member profile would be created which will help to map education, income, skills and sectors.</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="2">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;"><span>Survey &gt; Roaster Section (1)</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td style="padding-left: 5px; background-color: #8C8C8C; color: #FFFFFF;">(Repeated group)</td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>member_name <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Name</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>member_age <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Age</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>member_gender <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Gender</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Male</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Female</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>relation_to_head <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Relationship with the head of the household</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Self</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Spouse</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Parents/in-laws</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Siblings</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Children</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Daughter/Son in law</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>education_qualification <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Educational Qualification</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Literate</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Never been to school</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Primary schooling (K.G./Anganwadi to Class 5th)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Middle School (Class 6th to 8th)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Secondary schooling (Class 9th and 10th)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Higher secondary schooling with science(10+2/I.Sc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Higher secondary schooling with arts(10+2/I.A)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Higher secondary schooling with commerce(10+2/I.Com)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Graduation with arts(B.A)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Graduation with science(B.Sc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Graduation with commerce(B.Com)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">12</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Industrial Training Institute(ITI) Please state trade</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">13</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Polytechnic Please state trade</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">14</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Engineering</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">15</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Professional Degree (doctor, lawyer, certified public accountant, etc.)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">16</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Postgraduate</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>iti_trade <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if ITI , please specify the trade</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>polytechnic_trade <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if Polytechnic, please specify the trade</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reason_not_attending_school <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Reason for not attending school</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>School far away</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>School Supported by Coal Company(NCL) is closed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Required for work at home</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Need to support household income</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Schooling facility not available</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Financial Constraint</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>To help family in coal gathering</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Disability</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>has_informal_skills <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does this person have informal or intergenerational Skills? (Ex Learn vehicle/machine repairing from the father, uncle)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>informal_skills_detail <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if yes, Please specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>is_below_18 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Question for Surveyor, Is this person is below 18 years of age?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>school_type_below_18 <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">For children below 18 year age, type of School</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Government</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Private</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>School supported by Coal(NCL) and TPP(NTPC/MP Genco) company</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Madarsa</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other type of school</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Schooling Completed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Not attained the school going age</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>occupation <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What Does this person do?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Job</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Business</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Not working (Student)/Retired</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Student</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Infant (Less than 5 years)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey &gt; Roaster Section (1) &gt; Occupation info</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>work_sector <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Current Sector of Work</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal Mining (NCL outsourcing, Private Coal Company)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Thermal Power plants (NTPC, Reliance, Jaypee, MP GENCO or others)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other Coal based industry (Steel, MSME, etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-coal mines quarrying (stone, mica, iron ore)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Red Brick</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Fly ash Brick</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal Transport</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-Coal Transport (Freight)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Passenger transport(including school bus, trekker, auto, private driver at NCL)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Fertilizer</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Contractor/Supplier</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">12</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Construction work with NCL/NTPC Contractor</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">13</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Non-Coal Construction(PWD,highway, local house repairing</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">14</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Government Job (State/Central)-Non NTPC/NCL)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">15</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Professional (Lawyer,CA,etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">16</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Financial Services(Private Bank, LIC agent, share market etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">17</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Wholesale or Retail General/Pharma/Ration shop</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">18</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Hawker (Fruit/Vegetable Car etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">19</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Hotel and Restaurant (Including Dhaba)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">20</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Service and Repairing (Mechanic/Workshop/Electricial Related to mines or TPP</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">21</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Health Facility (including ASHA, private doctor, nurses etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">22</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Education(Teacher at private school, non permanent government teacher, tuition teacher</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">23</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No fixed sector due to temporary nature of work (applicable mostly to daily wager</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">24</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Agriculture and allied activities</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other (Please Specify)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>work_sector_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Other Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>employment_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Type of Employment</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Permanent Employee-Government(with all social security benefit)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Permanent Employee-Private(with all social security benefits)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Permanent Employee-Private(with all no security benefits)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>PSU Permanent Employee-NCL/NTPC/TPP(With all the social security benefit)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Government Pensioner</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal Company Pensioner (NCL)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>PSU Pensioner (Like NTPC, or EPFO Pensioners)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Contractual worker with formal contract (with health benefit/accidental benefit)-Outsourcing company</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Contractual worker with formal contract (with no health/accidental benefit)-Outsourcing company)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Contract worker with no formal contract (Ex Working with contractor/transporter/supplier)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Casual labour (Daily Wage worker)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">12</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Temporary worker in the Informal sector (Working at shops, dhabas, restaurants, etc.)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">13</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Self employed</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">14</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Coal loader</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">15</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Household member working in other district</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>exact_job_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Exact Job Type</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>employment_type_other <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Other Please Specify</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>employer_name <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Name of institution/company/organisation/State (in case the name of company does not know (For daily wager, write daily wager, for contractor, write name of the contractor or his company name)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>monthly_income <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Monthly Income</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Below Rs 5,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 5,000 to Rs 10,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 10,000 to Rs 20,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 20,000 to Rs 40,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 40,000 to Rs 60,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs. 60,000 to Rs. 80,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 80,000 to Rs 1,00,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 1,00,000 to Rs 1,25,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs 1,25,000 to Rs.1,50,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Rs.1,50,000 to Rs. 2,00,000</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Above 2,00,000</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>has_supplementary_income <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does this person have any supplementary income source? (Ex Other business, rent, cab/taxi service, dairy, etc.)</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>supplementary_income_source <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Source of the supplementary Income</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey &gt; Roaster Section (1) &gt; if Business</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>business_type <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Types of Business</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Civil Contractor (NCL, NTPC, PWD, Panchayat, private etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Supplier (NCL, NTPC, PWD, Panchayat, private etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Repairing Shop</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>General Store/Kirana Store/Stationary/Courier(Retailer)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>General Store/Kirana Store/Stationary/Courier (wholeseller)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Transport business(Truck or heavy vehicle)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other Consumer good(Electronics, furniture etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Hotel/Restaurant</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Small tea point/Dhaba/ Street food cart</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Hawker (Fruit, vegetable, others)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Pharma Store (Chemist)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">12</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Clothing(Readymade Garment, etc)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">13</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Salon/Parlour</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Other please specify</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>business_location <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Location of the business (Name of Market, locality etc)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>distance_from_mines_km <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Distance from the Mines (in Km)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>employs_others <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does he/she employ other people also?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>number_employed <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How many people does he/she employ?</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>annual_turnover <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">What is the total annual turnover from business? <p class="hint">(Note if respondent is saying monthly convert it into annual)</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>serves_coal_mines <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does your company/business provide service to the coal mines?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>coal_mines_dependency_level <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">How much is the supply or business coming from the coal mines/TPP?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>More than 50%</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Less than 50% and more than 25%</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Less than 25%</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>impact_of_mine_closure <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do you think there will be an impact of future coal mines closure on their business?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Partially (less than 50%)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>depends_on_mine_workers <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Does their business depend on the people working or earning their livelihood from mines?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>dependency_explanation <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">if Yes, How is the business dependent?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>More than 50% of customers are living in colony or houses of the company</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Workers working in nearby siding/ mines/Washery/TPP are the major customers</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>The majority of customers are from the coal company (NCL, Reliance, NTPC)</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>sales_increase_during_bonus <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">During the time of the pooja bonus or arrear does the sale increases?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes, by more than 50%</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Less than 50% and more than 25%</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Less than 25%</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No, there is no impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>impact_due_to_road_eauction_reduction <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Has there been any reduction in business when road sales or e-auctions are reduced?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes (more than 50%)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Partially (less than 50%)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>future_closure_impact_repeat <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Do you think there will be an impact of future coal mines closure on their business?</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Partially</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No impact</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;" colspan="3">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td style="padding-left: 5px; background-color: #A9A9A9; color: #FFFFFF;"><span>Survey &gt; Roaster Section (1) &gt; if Umeployed or retired</span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>reason_not_earning <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Why this person is not earning</td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Still studying (Preparing for jobs competitive exams)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Old age</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">3</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Help in domestic work (Example: Housewife)</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">4</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Help Family in farming</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">5</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Searching for Job</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">6</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Physical Disability</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">7</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Lost Job Due to Closure of Mines or TPP</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">8</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Job Loss Due to Closure of Other Industry</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">9</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Closed Own Business Due to Loss</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">10</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Medical/Health Reason</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">11</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Retired from Government Job</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">12</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Retired from PSU (NCL/NTPC) and getting pension</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">999</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Others</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>has_worked_before <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Has this person worked earlier? <p class="hint">(Note: To capture the people who lost the job or discontinued working)</p></td>
      <td>
       <table class="table table-bordered table-condensed">
        <tbody>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">1</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>Yes</span></td>
         </tr>
         <tr>
          <td class="response-note-cell"></td>
          <td style="text-align: center; padding-left: 3px; padding-right: 3px;">2</td>
          <td style="width: 100%; padding-left: 3px; padding-right: 3px;"><span>No</span></td>
         </tr>
        </tbody>
       </table></td>
     </tr>
     <tr class="entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>previous_employer_name <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Name of institution/company/organization/State (in case name of company not know (For daily wager write daily wager, for contractor write name of the contractor or his company name)</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="gray entryRow">
      <td style="height: 100%;">
       <div style="height: 100%; width: 100%">
        <table class="table borderless" style="height: 100%">
         <tbody>
          <tr>
           <td class="spacer" style="background-color: #707070;"></td>
           <td class="spacer" style="background-color: #8C8C8C;"></td>
           <td class="spacer" style="background-color: #A9A9A9;"></td>
           <td class="fieldCell" style="padding-left: 5px;"><span>months_not_working <span class="required">(required)</span> </span></td>
          </tr>
         </tbody>
        </table>
       </div></td>
      <td class="questionCell">Since how many months is this person not working ? (in months)<br>For example, if someone is not working for 2 years, write 24 )</td>
      <td class="answerCell response-note-cell"></td>
     </tr>
     <tr class="entryRow">
      <td style="padding-left: 5px;" class="fieldCell"><span>Comments <span class="required">(required)</span> </span></td>
      <td class="questionCell">Comments <p class="hint">For Enumerator - &lt;br/&gt;&lt;br/&gt;Whether there were any problem in the implementation (detailed for each participant) or particular questions from the participants</p></td>
      <td class="answerCell response-note-cell"></td>
     </tr>
    </tbody>
   </table>
  </div>
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